A 42-year-old man is brought from a lightning strike scene with several victims. Triage acuity is ESI 1; he is apneic and pulseless, with fern-like

Question

A 42-year-old man is brought from a lightning strike scene with several victims. Triage acuity is ESI 1; he is apneic and pulseless, with fern-like skin markings. Another nearby patient is awake with burns to the foot. Resources are limited. Which of the following is the most appropriate initial action?

Accepted Answer

Prioritize resuscitation of the apneic pulseless patient

Answer

Avoid defibrillation because lightning caused the arrest

Answer

Treat walking wounded first because they are more likely to survive

Answer

Delay CPR until burn size is calculated

Answer

Transport the awake patient first

Lightning injury — ABEM Board MCQ